Format Persediaan PKM JB 2022 Farmasi
Format Persediaan PKM JB 2022 Farmasi
S.AWAL
NO NAMA PERSEDIAAN SATUAN
31 DES 21
OBAT-OBATAN
Air untuk injeksi Botol 108
Albendazol 400mg Tablet
Albendazol susp 200 mg/5ml Tablet
Alopurinol tablet 100 mg Tablet 2,239
Alupurinol Tab 300mg Tablet 200
Aminofilin injeksi 24 mg/ml Tablet 60
Aminofilin tablet 200 mg Tablet 200
Amitriptilin Tablet Salut 25 mg (HCl) Tablet 1,575
Amlodipin tablet 10 mg Tablet 7,413
Amlodipin tablet 5 mg Tablet 5,000
Amoksisilin 250 mg Tablet
Amoksisilin sir forte 250mg Botol
Amoksisilin sir 125mg/5 ml Botol 113
Amoksisilin Tablet 500 mg Tablet 5,656
Ampisilin serb inj 1000 mg/vial Vial
Antasida DOEN I Tablet Kunyah Kombinasi Tablet 3,409
Antasida DOEN II Suspensi Kombinasi Botol 222
Antifungi DOEN Kombinasi Tube 89
Antihemoroid Kombinasi sup Sup 212
Antimalaria DOEN Kombinasi (Primetamin dan Sulfadoksin) Tablet
Antimigren Komb ( Ergotamin 1mg + kafein 50 mg ) Tablet 556
Asam asetil salisilat (asetosal) tablet80 mg Tablet 860
Asam Askorbat (Vitamin C) Tablet 50 mg Tablet 6,364
Asam Folat 1 mg Tablet 620
Asam Mefenamat tablet 500 mg Tablet 5,693
Asiklovir Tablet 200 mg Tablet 993
Asiklovir Tablet 400 mg Tablet 785
Atapulgit Tablet Tablet 1,490
Atenolol 50 mg Tablet
Atropin Injeksi . 0,25 mg/ml ( i.m./ i.v. / s.k) Amp 7
Atropin Sulfat Tablet 0,5 mg Tab Tablet
Bedak Salisil serbuk 2% Bks 72
Betametason Krim 0,05 % Tube 205
Bisakodil sup 5 mg Tablet
Bisaprolol 5mg Tablet 229
Deksametason Injeksi 5 mg/ml (i.v/i.m) Amp 109
Deksametason Tablet 0,5 mg Tablet 2,295
Devitalisasi Pasta (Non Arsen) Tablet
Diazepam Injeksi 5 mg/ml ( i.v/i.m) Amp 50
Diazepam rektal 10mg/2 ,5ml Vial 18
Diazepam rektal 5mg/2 ml Tablet 4
Diazepam Tablet 2 mg Tablet 808
Diazepam Tablet 5 mg Tablet 522
Dietilkarbamazin tab 100mg Tablet
Difenhidramin Injeksi 10 mg / ml (i.v/i.m) Amp 66
Digoksin Tablet 0,25 mg Tablet 600
Diltiazem hcl tab 30mg Tablet
Doksisiklin Kapsul 100 mg Tablet 970
Domperidon 10 mg Tablet Tablet 644
Domperidon 5mg/5ml Sirup Botol 80
Epinefrin (Adrenalin) Injeksi 0,1 % (i.v/s.k/i.m) Amp 6
Ergotamin tab 1mg Tablet
Eritromisin kapsul 250 mg Tablet
Eritromisin Kapsul 500 mg Tablet 500
Eritromisin Sirup 200 mg / 5 ml Botol 45
Etanol cairan 70 % Botol 17
Etil Klorida Semprot 100 ml Botol
Eugenol cairan Botol
Fenitoin Na kaps Tablet
Fenobarbital tablet 30 mg Tablet 1,495
Fenoksimetil penisilin ( Penisilin V ) 250mg Vial
Fenoksimetil penisilin ( Penisilin V ) 500mg Vial
Fitomenadion (Vitamin K1) Injeksi 2mg/ml (i.m) Amp 126
Fitomenadion (Vitamin K1) Tablet Salut 10 mg Tablet 333
Flufenazin inj 25 mg/ml (i.m) Amp
Fluor kaps 1 mg Tablet
Furosemid Injeksi 10 mg / ml ( i.v. / i.m) Amp 20
Furosemid Tablet 40 mg Tablet 706
Garam Oralit I Serbuk Kombinasi Bks 152
Glass Ionomer Cement Art Lar.
Glibenklamida Tablet 5 mg Tablet 793
Glimepirid 2 mg Tablet 2,435
Griseofulvin Tablet 125 mg Tablet 490
Griseril trinitrat tab sublingual 0,5 mg Tablet
Haloperidol Tablet 0,5 mg Tablet
Haloperidol Tablet 1,5 mg Tablet 500
Hidroklorotiazida Tablet 25 mg Tablet 943
Hidrokortison Krim 2,5 % Tube 106
Hyoscine -N-Butilbromide Tablet 10 mg Tablet 846
Ibuprofen Sirup 100 mg/5 ml Botol 60
Ibuprofen Tablet 200 mg Tablet 1,399
Ibuprofen Tablet 400 mg Tablet 775
Isosorbid Dinitrat Tablet Sublingual 5 mg Tablet 779
Kalsium glukonat inj 10% Amp 3
Kalsium Hidroksida bubuk,Pasta
Kaptopril Tablet 12,5 mg Tablet 2,062
Kaptopril Tablet 25 mg Tablet 1,811
Karbamazepin tab 100 mg Tablet
karbo Gliserin tetestelinga 10 % Botol 24
Ketokonazol tab 200 mg Tablet 889
Klindamisin 300 mg Tablet 100
Klindamisin kap 150mg Tablet
Kloramfenikol kapsul 250 mg Tablet 691
Kloramfenikol Salep Mata 1 % Tube 62
Kloramfenikol susp 125mg/5ml Botol
Kloramfenikol Tablet 500mg Tablet
Kloramfenikol Tetes Mata 1 % Tube
Kloramfenikol tetes telinga 1% Botol
Klorfeniramin Tablet 4 mg Tablet
Klorfenol Kamfer Menthol (CHKM) Tablet
Klorpromazin Tablet Salut 100 mg (HCl) Tablet
Klorpromazin Tablet Salut 25 mg (HCl) Tablet
Kodein tablet 10 mg Tablet 663
Kotrimoksazol (Dewasa ) Sulfa - Trimetoprim tablet 480 mg Tablet 832
Kotrimoksazol Sulfa - Trimetoprim suspensi 240 mg/5ml Botol 65
Kuinin Tab Tablet
Lidokain 2% + Epineprin 1 : 80.000 injeksi 2 ml Amp
Loratadin 10 mg tablet Tablet 3,765
Magnesium Sulfat Injeksi 20% Botol
Magnesium Sulfat Injeksi 40% Botol 6
Mebendazol sir 50mg/ml Botol
Mebendazol tab 100 mg Tablet
Mebendazol tab 500 mg Tablet
Metformin 500 mg Tablet 18,226
Metformin 850 mg Tablet 1,690
Metilergometrin Maleat Injeksi 0.2 mg - 1ml Amp
Metilergometrin Maleat Tablet Salut 0,125 mg Tab Tablet 2,578
Metilprednisolon tab 4 mg Tablet
Metoklopramid Tablet 10 mg Tablet 1,378
Metrodinazol lar inf 5mg/ml Botol
Metrodinazol sir 125mg/ml Botol
Metronidazol Tablet 250 mg Tablet
Metronidazol tablet 500 mg Tablet 1,400
Mikonazol Krim 2% (Nitrat) Tube 194
Natrium Bikarbonat Tablet 500 mg ( Meylon ) Tablet
Natrium Diklofenak Tablet 25 mg Tablet 4,800
Natrium Diklofenak Tablet 50 mg Tablet 1,280
Natrium tiosulfat inj 25% (i.v) Amp
Nifedipin Tablet 10 mg Tablet 818
Nistatin Suspensi 100.000UI/ml Sup
Nistatin Vagina 500.000 Tablet Tablet
Nistatin Vaginal Tablet 100.000 IU /g Tablet 152
Oksitosin Injeksi 10 iu/ml -1 ml Amp 218
Omeprazol tablet 20 mg Tablet 3,133
Parasetamol Sirup 120 mg / 5 ml Botol 63
Parasetamol Tablet 500 mg Tablet 5,218
Parasetamol drops 100 mg / 1 ml Tablet
Perak sulfadiazin krim1% Tube 5
Pirantel pamoat sus 125mg/5ml Botol
Pirantel pamoat tab 125 mg Tablet 2,148
Piridoksin (Vitamin B6) Tablet 10 mg (HCl) Tablet 3,845
Povidon Iodida 100 mg/ml 30 ml Botol 24
Povidon Iodida 100 mg/ml 300 ml Botol 22
Prednison Tablet 5 mg Tablet 1,628
Primakuin Tablet 15 mg Tablet
Probenesid tab 500mg Tablet
Prokain Benzil Penisilin G. Injeksi 3 Juta iu/Vial Vial
Propanolol Tablet 10 mg (HCl) Tablet 422
Propilitiourasil Tablet 100 mg Tablet 159
Ranitidin Tablet 150 mg Tablet 1,585
Risperidon 2 mg Tablet
Salbutamol Tablet 2 mg (Sebagai Sulfat) Tablet 2,000
Salbutamol Tablet 4 mg (Sebagai Sulfat) Tablet 1,900
Salep 2 - 4 Kombinasi Tube 50
Sefadroksil Kapsul 500 mg Tablet 888
Serum Anti Bisa Ular Polivalen Injeksi 5 ml (ABU I) Vial
Serum Anti Tetanus Injeksi. 1.500 iu / 1 ml (ATS) Amp 12
Sianokobalamin (Vitamin B12) Injeksi 500 mcg Amp 132
Sianokobalamin (Vitamin B12) Tablet 50 mcg Tablet 868
Simvastatin Tablet 10 mg Tablet 1,285
Simvastatin Tablet 20 mg Tablet 359
Siprofloksasin Tablet scored 500 mg Tablet 3,585
Spironolakton 25 mg tablet Tablet 938
Tetrakain HCl Tetes Mata 0,5 % Tablet
Tetrasiklin Kapsul 500 mg Tablet
Tetrasiksin 250 mg Tablet
Tiamin (Vitamin B1) Tablet 50 mg (HCl / Nitrat) Tablet 2,324
Valproat sir 250 mg/ml Botol
Valproat tab sal 250mg Tablet
Valproat tab sal 500 mg Tablet
Verapamil 80mg Tablet
Vitamin B Kompleks Tablet Tablet 3,725
Zink sir 10 mg/ml Botol 58
Zink tablet dispersi 20 mg Tablet 534
OBAT SESUAI FORMULARIUM NON NASIONAL (FORNAS)
Ambroxol Sirup 15 mg/ml Botol 7
Ambroxol Tablet 30 mg Tablet 141
Antalgin Injeksi 250 mg Amp
Antibakteri DOEN Salep Kombinasi (Bacytrasin Salep) Tube 46
Asam asetil salisilat (asetosal) tablet500 mg Tablet
Asetosal Tablet 100mg Tablet
Asiklovir Krim 5% Tube 83
Counterpain 15 mg Tablet
Duvadilan Tablet
Efedrin Tablet 25mg ( HCL ) Tablet
Ekstraks Belladona Tablet 10 mg Tablet
Etakridin Larutan 0,1 Botol 46
Famotidine Tablet 40 mg Tablet
Fenobarbital inj Amp 27
Fenol Gliserol Tetes Telinga 10 % Botol 22
Gentamisin Injeksi 40 mg/ml Amp 11
Gentamisin Salep Kulit 0,1 % Tube 48
Gliseril Guaiakolat Tablet 100 mg Tablet 2,668
Glukosa Larutan Infus 10 % Steril Botol -
Glukosa Larutan Infus 5 % Steril Botol 29
Imersi Oil Botol
Kalsium Laktat (Kalk) Tablet 500 mg Tablet 4,497
Ketorolac inj 30mg/ml Amp
Kotrimoksazol DOEN II (Pediatrik) Kombinasi Tablet
Larutan Asam Asetat Tablet
Larutan Asam Klorida 0,1 N Botol
Larutan Benedict Botol
Larutan Eosin 2% Botol
Larutan Faucet Botol
Larutan Giemsa Stalin Botol
Larutan Natrium Sitrat 3,8% Botol
Larutan Resserccer Botol
Larutan Turk Botol
Lisol Botol
Natrium Klorida Larutan Infus 0,9% Botol 80
Obat Batuk Hitam (OBH) 100 ml Cairan Botol 8
Oksitetrasiklin HCl Injeksi. i.m. 50 mg/ml - 10 ml Amp
Oksitetrasiklin HCl Salep Mata 1 % Tube 28
Oksitetrasiklin Salep Kulit 3 % Tube
Parasetamol 100 mg Tablet
Pehacain inj Amp
Piracetam Injeksi 1 g / 5 mL Amp
Piroxicam 20mg Tablet 1,970
Propanolol tablet 40 mg Tablet
Ranitidin Injeksi 25 mg / 2 ml Amp 214
Reagen Golongan Darah Botol
Reagen TB Botol
Ringer Laktat Larutan Infus Steril Botol 160
Semen Seng Fosfat Serbuk dan Cairan Botol
Setirizin Sirup 5 mg/5ml Botol 71
Setirizin Tablet 10mg Tablet 478
Simetidin Tablet 200 mg Tablet
Sulfasetamida Natrium Tetes Mata 15 % Botol
Tablet Tambah Darah Tablet
Temporary Stopping Fletcher Serbuk dan Cairan Botol
Tiamin (Vitamin B1) Injeksi 100 mg/ml Amp 78
Trombophob Jeli 15 g Tube
Ventolin Botol 82
Betahistin Tablet 2,644
Kandersartan 8 mg Tablet 8,815
Kandersartan 16 mg Tablet 8,853
BAHAN MEDIS HABIS PAKAI (BMHP) -
Alat Suntik Sekali Pakai 1 ml pcs 857
Alat Suntik Sekali Pakai 2,5 ml pcs
Alat Suntik Sekali Pakai 3 ml pcs 1,938
Alat Suntik Sekali Pakai 5 ml pcs 1,707
Catgut / Benang bedah No. 3/0 Dengan Jarum Bedah pcs 42
Elastis Verban 4 inci pcs
Foley Catheter No. 16 pcs 43
Foley Catheter No. 18 pcs 21
Hanscoond no 6,5 pcs
Hanscoond no 7,5 pcs
HCG test pcs
Infusion Set Anak pcs 79
Infusion Set Dewasa pcs 487
IV Catheter No. 18. G pcs 150
IV Catheter No. 20 G pcs 124
IV Catheter No. 22 G pcs 155
IV Catheter No. 24 G pcs 224
Jarum Jahit Kulit pcs
Jarum Jahit Otot pcs
Kapas Pembalut / Absorben 250 gr pcs 20
Kasa Pembalut 2 m x 80 cm pcs
Kasa Hidrofil 4 m x 15 cm pcs
Kasa Hidrofil 4 m x 3 cm pcs
Kasa Hidrofil Steril Uk. 16 cm x 16 cm pcs 104
Kasa Hidrofil Uk. 36 m x 80 cm pcs
Kasa Kompres 40/40 Steril pcs
Kasa Pembalut Hidrofil 4 m x 10 cm pcs 35
Kasa Pembalut Hidrofil 4 m x 5 cm pcs
Masker pcs
Pembalut Gips 4 Inci pcs
Plester 5 Yards x 2 inci pcs
Silk (Benang Bedah Sutra) No. 3/0 Dengan Jarum Bedah pcs 75
Urine Bag pcs 32
Wing Needle No.27 G pcs
Handscoond 8 pcs
Handscoond 7 pcs
Plesterin Non Woven pcs
Kasa Hidrofil Uk. 40 m x 80 cm pcs
Poligyp 10 cm x 2,7 m pcs
Policrepe pembalut elastis 10 cm x 4,5 m pcs
Plester 5cm x 5m pcs
Fixomul Rol 16
Handscoond M pcs
Handscoond L pcs
Alkohol Swab pcs -
Masker N 95 pcs 40
Cuticell 10Cm X 10M Rol -
Leucoplast Rol -
Uniflex 7,5 X 4,5CM Rol -
TAMBAHAN
Akohol swab pcs -
Multivitamin (Imundo) Tablet
Multivitamin (Imundo) Botol
Genta Violet Botol
Amoksilin drops Botol
Vitamin C 250 Mg Tablet
OBAT PROGRAM
Primaquin Tablet -
Arterakina (Dhp)=Dartep Tablet -
Haloperidol tab 5mg Tablet 4,920
Risperidon Tablet 2,075
Triheksifenidil 2mg Tablet 4,405
Clozapine 25mg Tablet 1,985
Amitriplin Tablet -
Glukanos kalsikus injeksi 10% Amp -
Magnesium sulfat injeksi 20%-25ml Botol -
Fenobarbital injeksi Im/Iv 50mg/Ml Amp -
Tablet Tambah Darah Tablet 25,000
Vit A Biru 100.000 IU Tablet -
Vit A Merah 200.000 Iu Tablet 16,800
Garam oralit 200Mg Bks -
Zink tablet 20Mg Tablet -
Safety box Pcs -
Sarung Tangan Non Steril Size L Pcs 100
Sarung Tangan Non Steril Size M Pcs 200
Spray Desinfektan Pcs 292
Haloperidol Injeksi 5 Mg/Ml (Iodomer) Pcs 25
Haloperidol Dekanoat Injeksi 50 Mg 2
Betahistine Hcl 2,644
Candesartan 8 Mg 8,815
Candesartan 16 Mg 8,853
Handscoon Size 7 -
Asam Askorbat (Vitamin C) Tablet 500 mg 500
Etanol cairan 70 % 1000mL 24
S.AKHIR HARGA
MASUK KELUAR HARGA
31 DES 22 31 DES 21 MASUK KELUAR
- 205 - - -
- - - -
4,920 60 295,200 - -
2,075 287 595,525 - -
4,405 93 409,665 - -
1,985 1,121 2,225,185 - -
- 167 - - -
- 10,351 - - -
- 12,662 - - -
- 1,890 - - -
25,000 372 9,300,000 - -
- 322 - - -
16,800 579 9,727,200 - -
1100 110 990 257 - 282,700 28,270
500 0 500 551 - 275,500 -
- - - - -
100 - - - -
200 - - - -
292 - - - -
25 - - - -
2 - - - -
0 2,644 - - - -
0 8,815 - - - -
0 8,853 - - - -
- - - - -
0 500 - - - - -
40 24 40 - - - -
360,360
-
-
238,815
394,000
135,408
118,500
278,300
651,960
4,101,000
-
-
1,628,000
4,252,705
-
634,284
27,600
1,025,451
438,750
-
166,964
192,062
645,000
143,840
1,260,516
252,284
219,450
1,017,474
-
8,590
-
503,006
2,576,805
-
246,600
402,688
1,313,334
-
58,710
-
-
5,160
972
-
-
97,800
-
274,550
73,000
-
-
-
-
1,386,084
644,670
184,580
-
-
-
200,200
-
-
336,864
-
-
-
84,916
506,000
-
-
253,270
387,090
36,750
-
-
35,500
283,420
578,925
1,638,000
-
787,380
1,677,500
22,020
-
-
141,440
410,550
-
-
555,100
908,105
-
-
60,345
2,492,868
1,174,000
-
-
-
-
-
-
290,400
223,650
233,100
-
-
329,115
-
-
-
-
-
916,993
451,401
102,300
551,692
-
-
-
-
-
1,485,000
596,600
-
667,635
197,424
-
758,494
-
-
165,000
137,372
412,542
667,265
1,922,635
-
-
-
641,608
740,104
274,725
527,175
213,142
-
-
-
48,380
299,700
267,168
-
141,500
272,740
257,922
992,310
2,585,660
-
-
116,204
124,100
285,000
859,500
90,800
-
3,450,000
-
189,980
-
-
-
-
453,887
9,285,100
-
3,105,000
1,282,752
-
477,993
-
-
968,734
-
-
-
-
115,600
-
45,900
108,900
-
119,925
1,405,000
-
589,803
-
368,739
-
-
-
-
-
-
-
-
-
-
-
-
3,967,500
-
-
-
588,896
-
-
-
1,407,600
-
1,711,930
-
-
12,016,680
-
430,600
100,000
-
-
-
-
2,039,920
-
1,620,333
-
-
2,351,987
-
452,804
-
657,090
492,666
6,679,530
-
386,225
275,875
-
-
-
4,501,770
4,369,464
2,338,615
3,333,492
3,553,809
1,967,300
-
-
906,400
-
-
-
405,920
1,799,200
-
-
-
-
-
-
6,415,200
285,880
-
-
-
-
-
-
-
-
510,000
-
-
-
-
-
-
-
140,800
3,209,760
-
420,825
2,385,220
339,500
-
-
295,200
595,525
409,665
2,225,185
-
-
-
-
9,300,000
-
9,727,200
254,430
275,500
-
-
-
-
-
-
-
-
-
-
-
-
174,488,680
174,488,680